Utilization Review-Case Management

Work as member of multi-disciplinary treatment team reviewing patient care and treatment options for both inpatient and outpatient services. Proactively monitor and optimize reimbursement for external reviewers/third party payers.Pay Range: $32/hr. to $60/hrResponsibilities:Admissions: Conduct admission reviewsConcurrent/Stay Reviews: Conduct concurrent and...

Work as member of multi-disciplinary treatment team reviewing patient care and treatment options for both inpatient and outpatient services. Proactively monitor and optimize reimbursement for external reviewers/third party payers. *Pay Range: $32/hr. to $60/hr. Responsibilities: Admissions: Conduct admission reviews Concurrent/Stay Reviews: Conduct...

**JOB SUMMARY**: Case Managers function as liaisons between patients, their families, and internal and external health care personnel to ensure appropriate, efficient, and timely health care service. Their focus includes providing clinical documentation to third party payers to facilitate authorization and reimbursement for inpatient hospital stays,...

**Sign On Bonus for Eligible External Hires** **Job Summary**: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family,...

JOB SUMMARY: Case Managers function as liaisons between patients, their families, and internal and external health care personnel to ensure appropriate, efficient, and timely health care service. Their focus includes providing clinical documentation to third party payers to facilitate authorization and reimbursement for inpatient hospital stays,...

PHMC is proud to be a leader in public health. PHMC requires that all employees are fully vaccinated with the Covid-19 vaccine before the first day of employment. JOB DESCRIPTION: Full Time Bi-lingual FIR Case Manager reports to the FIR case management supervisor. This individual works directly with participants that have Forensic Service involvement and may...

Job SummaryThe Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the UM program by developing and/or maintaining effective and efficient processes for determining the appropriate admission status based on the regulatory and...

[Certified Case Manager (CCM) - Commission for Case Manager Certification; Accredited Case Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing; California Registered Nurse (RN) - CA Board of Registered Nursing; Bachelor's Degree **Hours**: **Shift Start Time**: Variable **Shift End Time**: Variable **AWS Hours...

The Case Manager will work under the supervision of the Program Director. The Case Manager will perform client intake, sign all intake documents, and perform group and individual sessions. The Case Manager will perform duties while adhering to the organization's values and principals. EXPERIENCE & EDUCATION: A minimum of a High School diploma or GED is...

Job DescriptionJob DescriptionThe Case Manager will work under the supervision of the Program Director. The Case Manager will perform client intake, sign all intake documents, and perform group and individual sessions. The Case Manager will perform duties while adhering to the organization's values and principals.EXPERIENCE & EDUCATION:A minimum of a...

0Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals with complex needs in recovering their health, hopes, and dreams. Telecare continues to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA+, veterans, and all...

Job Summary: Provide in-home and center-based case management and supportive services to the MHP residents. The Case Manager will be responsible for overseeing day to day activities for clients and volunteers. Duties and Responsibilities: 1. Conducts client assessments consistent with program requirements. 2. Primary coverage for THP clients (weekly sessions...

Job DescriptionJob DescriptionJob Summary: Provide in-home and center-based case management and supportive services to the MHP residents. The Case Manager will be responsible for overseeing day to day activities for clients and volunteers.Duties and Responsibilities:1. Conducts client assessments consistent with program requirements.2. Primary coverage for...

Job DescriptionJob DescriptionSalary: 60,000About the OrganizationHaitian Bridge Alliance, Inc. (HBA) also known as “The BRIDGE” is a 501(c)(3) grassroots nonprofit community organization that advocates for fair and humane immigration policies and provides migrants and immigrants with humanitarian, legal, and social services, with a particular focus on...

The County of San Diego is currently accepting applications for the position of. Utilization Review Quality Improvement Specialist(RN, LCSW, MFT, LPCC, Clinical Psych.)Future Salary Increases - - July 2024 - 7.83% increase to base pay (2.75% Across-t Improvement Specialist, Quality, Behavioral Health, Specialist, Clinical, Registered Nurse, Healthcare

POSITION SUMMARY/RESPONSIBILITIES Manages tasks of the Baby Bexar program nurses and navigators to ensure Baby Bexar patients and families are able to achieve goals of their treatment plans across the healthcare continuum and Baby Bexar social service network in accordance with Baby Bexar grant program goals and objectives. Works with the Baby Bexar social...

POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and...

Overview: Monitors the admissions, continued stay, and discharge of patients following pre-­established criteria.   Assures that patients meet InterQual criteria from admission to discharge including appropriateness of level of care.   Conducts interdisciplinary care management rounds.  Ensures collaboration between multidisciplinary healthcare team...

POSITION SUMMARY/RESPONSIBILITIES Manages tasks of the Baby Bexar program nurses and navigators to ensure Baby Bexar patients and families are able to achieve goals of their treatment plans across the healthcare continuum and Baby Bexar social service network in accordance with Baby Bexar grant program goals and objectives. Works with the Baby Bexar social...

**Position**: FYSB Case Manager **Classification **Non**-**Exempt **Supervised By**: Housing Program Manager Home Start’s vision is for every child to have a safe, stable, and nurturing home. Guided by our mission to assure the safety and resiliency of children by strengthening families and their communities, Home Start, Inc., a non-profit child abuse...